Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20035
Title: The role of the Mirena Intrauterine Device(LNG-IUD) in the management of endometrial polyps - a Pilot Study.
Austin Authors: Chowdary, Prathima ;Maher, Peter;Ma, Tony;Newman, Marsali R ;Ellett, Lenore;Readman, Emma
Affiliation: Mercy Hospital for Women, Takapuna, Auckland, New Zealand
Mercy Hospital for Women, Heidelberg, Victoria, Australia
Austin Health, Heidelberg, Victoria, Australia
Issue Date: 2019
Date: 2018-12-24
Publication information: Journal of minimally invasive gynecology 2019; 26(7): 1297-1302
Abstract: To study the hypothesis that the LNG-IUD can have a role in the treatment of endometrial polyps confirmed at outpatient hysteroscopy in premenopausal women. Canadian task force classification - Level II1 (controlled trial which is not randomised) SETTING: Outpatient hysteroscopy PATIENTS: premenopausal women who had a polyp diagnosed at outpatient hysteroscopy INTERVENTIONS: Premenopausal women who had a polyp diagnosed at outpatient hysteroscopy and had a LNG-IUD inserted were booked for GA hysteroscopy and polypectomy through the standard booking process. A contemporaneous control was taken sequentially from the outpatient hysteroscopy database to match the case. Presence of polyp at hysteroscopy under General Anaesthetic. A total of 39 patients were included in the study, with 19 in the intervention group and 20 in the control group. The mean age was 43.6 (SD = 5.6) and 43.2 (SD = 8.1) in the two groups, respectively. No difference was found in time interval between the two procedures in the intervention and control groups (mean 92 vs 84 days, p=0.73). However, the proportion of polyps present at second procedure was significantly higher in the control group (80% vs 37%; relative risk (RR) 2.17; 95% CI [1.16, 4.07]; p=0.0062). Our case control study found that the LNG-IUD can have a role in the treatment of polyps for women who have heavy menstrual bleeding. This is the first study to show regression of endometrial polyps post treatment with LNG-IUD by direct visualisation at hysteroscopy.
URI: https://ahro.austin.org.au/austinjspui/handle/1/20035
DOI: 10.1016/j.jmig.2018.12.013
Journal: Journal of minimally invasive gynecology
PubMed URL: 30590128
Type: Journal Article
Subjects: Endometrial polyp
Levornogestrel intrauterine device
Outpatient hysteroscopy
Appears in Collections:Journal articles

Show full item record

Page view(s)

86
checked on Nov 3, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.